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Hospitals Tell Doctors They’ll Be Fired If They Speak Out About Lack of Gear

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Re: Hospitals Tell Doctors They’ll Be Fired If They Speak Out About Lack of Gear

#41
What an empty threat. A hospital is not going to fire staff at the moment of greatest demand, and a doctor with an intact credential can get hired anywhere they want in a split second. Maybe the hospitals can bully the nurses assistants and support staff, so the doctors need to step up and speak on their behalf too.

Re: Hospitals Tell Doctors They’ll Be Fired If They Speak Out About Lack of Gear

#42
post #18

Earlier quoted context omitted.

> How do we put a swift end to this nonsense? When every healthcare worker starts defying these types of rules. What are they going to do? Fire all of them?

I received emergency alert messages on all of my cellphones all night last night begging for healthcare workers to register at a state website to help. Whom the power lies with is clear.

It only lies with them in collective action. Any one individual has to look after their family and doesn't have much power. Now, if they all stop working, at the same time, then they have the power and the ability to protect their families at the same time.

Re: Hospitals Tell Doctors They’ll Be Fired If They Speak Out About Lack of Gear

#44
post #15
post #12

There's also this: "Many hospitals bar doctors and other staff members from wearing protective masks in public areas. Some have been disciplined for pushing back." https://www.nytimes.com/2020/03/31/health/hospitals-coronavi... How do we put a swift end to this nonsense? Surely the public will be overwhelmingly on the side of doctors, nurses and other healthcare workers.

Doctors and nurses get to choose the hospitals they work for/with. Unfortunately, new entrants to the hospital market are prevented by large state-sponsored moats, and most of the large incumbents are shady in similar ways, so the ability of the staff to choose employer based on ethics/practices is basically meaningless. More options for medical care and medical employment is the answer; the vast majority of people i…

A lot of doctors move across country borders for their careers.

Ethics/practices vary a lot between countries, and it only takes a small percentage of professionals moving away from one country to a better one to motivate change.

Re: Hospitals Tell Doctors They’ll Be Fired If They Speak Out About Lack of Gear

#45
post #22

Anonymous new profile, my apologies. My partner wasn't comfortable with me saying this stuff in a public way. They work in the emergency department of a hospital in North America. It's not just that they'll be fired if they speak out... The hospitals are also threatening to withhold worker's compensation payouts if a staff member is caught using anything brought from home, even if it's real, name brand equipment. Got…

What is the rationale for not being allowed to bring stuff from home?

Don't really know but my guess is that it is a combination of:

1. Regulations against using non-approved medical equipment of unknown provenance. 2. A worry about health care workers who don't have stuff they can bring from home. It's not as if you can go about and buy an N95 mask right now. If some of the healthcare workers have respirators that they have lying around at home and some don't then it could cause friction on the unit.

Re: Hospitals Tell Doctors They’ll Be Fired If They Speak Out About Lack of Gear

#46

Earlier quoted context omitted.

I don't see a solution that puts a swift end to this. The power asymmetry between employers and workers is so vast that situations like these are inevitable. We can't continue to live in this fantasy where companies have so much power over workers and their futures. But changing this involves organizing labor, which is deeply stigmatized in the US.

Doctors are the strongest guild in USA. They have the legal power to enforce a chronic shortage of doctors. That's why why PAs were invented.

You're proving my point. If one of the most powerful labor groups in the economy is being subjected to ruthless firing for speaking out on critical health issues during a national crisis, then what does that say about the state of labor in the US in general?

Re: Hospitals Tell Doctors They’ll Be Fired If They Speak Out About Lack of Gear

#47

Earlier quoted context omitted.

I received emergency alert messages on all of my cellphones all night last night begging for healthcare workers to register at a state website to help. Whom the power lies with is clear.

It only lies with them in collective action. Any one individual has to look after their family and doesn't have much power. Now, if they all stop working, at the same time, then they have the power and the ability to protect their families at the same time.

Remember, the stimulus bill just passed by Congress provides for arguably robust unemployment benefits for those who lose employment because of COVID, including having to quarantine to protect one’s self.

I agree collective action is the path to long term success, but these workers should not feel a gun is being held to their head by health system administration.

Re: Hospitals Tell Doctors They’ll Be Fired If They Speak Out About Lack of Gear

#48
post #12

There's also this: "Many hospitals bar doctors and other staff members from wearing protective masks in public areas. Some have been disciplined for pushing back." https://www.nytimes.com/2020/03/31/health/hospitals-coronavi... How do we put a swift end to this nonsense? Surely the public will be overwhelmingly on the side of doctors, nurses and other healthcare workers.

I don't see a solution that puts a swift end to this. The power asymmetry between employers and workers is so vast that situations like these are inevitable. We can't continue to live in this fantasy where companies have so much power over workers and their futures. But changing this involves organizing labor, which is deeply stigmatized in the US.

We have a unionist running for president but the electorate doesn't seem to want that at the moment. I think we're witnessing another symptom of growing inequality. Several billionaires such as Ray Dalio have rightly remarked that this is a dangerous and potentially destabilizing development in our society. What is most troubling to me is that it appears we would rather blame others instead of trying to solve the underlying issues.

Re: Hospitals Tell Doctors They’ll Be Fired If They Speak Out About Lack of Gear

#49

Earlier quoted context omitted.

I don't see a solution that puts a swift end to this. The power asymmetry between employers and workers is so vast that situations like these are inevitable. We can't continue to live in this fantasy where companies have so much power over workers and their futures. But changing this involves organizing labor, which is deeply stigmatized in the US.

Doctors are the strongest guild in USA. They have the legal power to enforce a chronic shortage of doctors. That's why why PAs were invented.

I think you're probably right about the guild part.

The chronic shortage of doctors? Well, that's because they're perhaps the strongest guild. The AMA puts a cap on the supply of doctors (via # of residency slots they allow). The PAs were invented so that another class of workers could do the work of doctors without jeopardizing the doctors' pay or status.

Re: Hospitals Tell Doctors They’ll Be Fired If They Speak Out About Lack of Gear

#50
post #12

There's also this: "Many hospitals bar doctors and other staff members from wearing protective masks in public areas. Some have been disciplined for pushing back." https://www.nytimes.com/2020/03/31/health/hospitals-coronavi... How do we put a swift end to this nonsense? Surely the public will be overwhelmingly on the side of doctors, nurses and other healthcare workers.

I don't see a solution that puts a swift end to this. The power asymmetry between employers and workers is so vast that situations like these are inevitable. We can't continue to live in this fantasy where companies have so much power over workers and their futures. But changing this involves organizing labor, which is deeply stigmatized in the US.

The masks thing is not about a power asymmetry, it's about extended use protocols. There is a critical shortage of equipment, and the hospital has to make it last.

Now why hospitals are demanding that doctors keep quiet about the consequences of emergency operations under extended use protocols? That's an entirely separate issue. Those hospitals should be named and shamed.

But I completely understand restricting PPE to needed areas. The solution to that is to manufacture more PPE. But if we're not going to do that then extended use protocols are just military sense.

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